Influenza : $b An epidemiologic studyVaughan, Warren T. (Warren Taylor)
History
Influenza : $b An epidemiologic study
Vaughan, Warren T. (Warren Taylor)
Influenza
_Age morbidity in previous epidemics._—Previous to the epidemic of
1889–93, the various recorded observations regarding morbidity, and
particularly regarding age morbidity, have consisted often of records
made by practising physicians, and are merely estimates based upon their
clinical experience and varying with the type of individual treated by
them. Or else they have been records made by non-medical historians.
During the 19th century, the tendency toward statistical enumeration
becomes more and more prominent, but the first statistical studies of
real value to the epidemiologist were made in the epidemic of thirty
years ago. Statistical study must begin with this last epidemic.
Observations of the earlier epidemics, while very interesting for
reference and comparison, are no longer acceptable as unquestioned
statements of fact. Even at the present time and with all of the
emphasis that is now being laid upon statistical procedure the records
are far from perfect, and it is to be hoped that in years to come the
improvement will be so decided that the records even of the 1918–20
epidemics will appear crude.
Buoninsegni remarks of the 1387 epidemic that many individuals of all
ages died, but the deaths were particularly prevalent among the aged.
Jacob, of Königshofen, writes that “there came a general pestilence in
the whole country, with cough and influenza, so that hardly one among
ten remained healthy,” and that old and debilitated persons were
frequently the victims.
Balioanus tells us that the epidemic of 1404 let not rank, age nor sex
escape its effect.
In 1557, according to Valleriola, the disease appeared with pestilential
rapidity, and spared neither sex, nor any age, nor rank, neither
children nor old persons, rich nor poor, but that it was not as a
general rule dangerous; children only, who could not freely cough out
the phlegm, dying.
The same story is told by Molineux, for 1693, “All conditions of persons
were attacked, those residing in the country as well as those in the
city; those who lived in the fresh air and those who kept to their
rooms; those who were very strong and hardy were taken in the same
manner as the weak and spoiled; men, women and children, persons of all
ranks and stations in life, the youngest as well as the oldest.”
Molineux, however, added that, “it rather favored the very old who
seldom were attacked with it.”
Public-domain text, read in full here on John Shaqi.
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